Chikungunya fever in Japan imported from the Caribbean Islands
Autor(es): Imai Kazuo, Nakayama Eri, Maeda Takuya, Mikita Kei, Kobayashi Yukiko, Mitarai Aoi, Honma Yasuko, Miyake Satoru, Kaku Koki, Miyahira Yasushi, Kawana Akihiko
Resumo: A 53-year-old Japanese woman who was working as a volunteer in the Commonwealth of Dominica in the Caribbean isl-s presented with a high-grade fever - severe incapacitating generalized arthralgia. The Asian genotype of the chikungunya virus was confirmed using reverse transcription-PCR - serology, based on the presence of a specific neutralization titer - immunoglobulin M antibodies. She was diagnosed with post-chikungunya chronic arthritis based on persistence of her polyarthritis for 3 months - the presence of rheumatoid factor, immunoglobulin G-rheumatoid factor, - matrix metalloproteinase-3. Chikungunya virus should be considered as a causative pathogen in travelers returning from Caribbean isl-s. Clinicians should consider chikungunya fever in the differential diagnosis of patients who complain of chronic arthritis - have a history of travel to an endemic area.
Palavras-Chave: Chikungunya virus; Caribbean; Japan; Chikungunya fever
Imprenta: Japanese Journal of Infectious Diseases, v. 69, n. 2, p. 151-153, 2016
Identificador do objeto digital: 10.7883/yoken.JJID.2015.063
Descritores: Chikungunya virus - Antibodies ; Chikungunya virus - Infectious diseases ; Chikungunya virus - Serology ; Chikungunya virus - Viral infections ; Chikungunya virus - Serology ; Chikungunya Virus - Virus ; Chikungunya virus - Chikungunya fever
Data de publicação: 2016
